Abstract: Present project consists in a study and a development
of piezoelectric devices for supplying power to new generation
pacemakers. They are miniaturized leadless implants without battery
placed directly in right ventricle. Amongst different acceptable
energy sources in cardiac environment, we choose the solution of a
device based on conversion of the energy produced by pressure
variation inside the heart into electrical energy. The proposed energy
harvesters can meet the power requirements of pacemakers, and can
be a good solution to solve the problem of regular surgical operation.
With further development, proposed device should provide enough
energy to allow pacemakers autonomy, and could be good candidate
for next pacemaker generation.
Abstract: The ultrasound imaging is very popular to diagnosis
the disease because of its non-invasive nature. The ultrasound
imaging slowly produces low quality images due to the presence of
spackle noise and wave interferences. There are several algorithms to
be proposed for the segmentation of ultrasound carotid artery images
but it requires a certain limit of user interaction. The pixel in an
image is highly correlated so the spatial information of surrounding
pixels may be considered in the process of image segmentation which
improves the results further. When data is highly correlated, one pixel
may belong to more than one cluster with different degree of
membership. There is an important step to computerize the evaluation
of arterial disease severity using segmentation of carotid artery lumen
in 2D and 3D ultrasonography and in finding vulnerable
atherosclerotic plaques susceptible to rupture which can cause stroke.
Abstract: Tumor is an uncontrolled growth of tissues in any part
of the body. Tumors are of different types and they have different
characteristics and treatments. Brain tumor is inherently serious and
life-threatening because of its character in the limited space of the
intracranial cavity (space formed inside the skull). Locating the tumor
within MR (magnetic resonance) image of brain is integral part of the
treatment of brain tumor. This segmentation task requires
classification of each voxel as either tumor or non-tumor, based on
the description of the voxel under consideration. Many studies are
going on in the medical field using Markov Random Fields (MRF) in
segmentation of MR images. Even though the segmentation process
is better, computing the probability and estimation of parameters is
difficult. In order to overcome the aforementioned issues, Conditional
Random Field (CRF) is used in this paper for segmentation, along
with the modified artificial bee colony optimization and modified
fuzzy possibility c-means (MFPCM) algorithm. This work is mainly
focused to reduce the computational complexities, which are found in
existing methods and aimed at getting higher accuracy. The
efficiency of this work is evaluated using the parameters such as
region non-uniformity, correlation and computation time. The
experimental results are compared with the existing methods such as
MRF with improved Genetic Algorithm (GA) and MRF-Artificial
Bee Colony (MRF-ABC) algorithm.
Abstract: The psychological impact of peer influence on its
individual group members, can make them resist HIV/AIDS
counselling and testing. This study investigated the correlate of peer
influence and resistance to HIV/AIDS counselling and testing among
students in tertiary institutions in Kano state, Nigeria. To achieve
this, three null hypotheses were postulated and tested. Cross-
Sectional Survey Design was employed in which 1512 sample was
selected from a student population of 104,841.Simple Random
Sampling was used in the selection. A self-developed 20-item scale
called Peer Influence and Psychological Resistance Inventory
(PIPRI) was used for data collection. Pearson Product Moment
Correlation (PPMCC) via test-retest method was applied to estimate a
reliability coefficient of 0.86 for the scale. Data obtained was
analyzed using t-test and PPMCC at 0.05 level of confidence. Results
reveal 26.3% (397) of the respondents being influenced by their peer
group, while 39.8% showed resistance. Also, the t-tests and PPMCC
statistics were greater than their respective critical values. This shows
that there was a significant gender difference in peer influence and a
difference between peer influence and resistance to HIV/AIDS
counselling and testing. However, a positive relationship between
peer influence and resistance to HIV/AIDS counselling and testing
was shown. A major recommendation offered suggests the use of
reinforcement and social support for positive attitudes and
maintenance of safe behaviour among students who patronize
HIV/AIDS counselling.
Abstract: Persea declinata (Bl.) Kosterm is a member of the
Lauraceae family, widely distributed in Southeast Asia. It is from the
same genus with avocado (Persea americana Mill), which is widely
consumed as food and for medicinal purposes. In the present study,
we examined the anticancer properties of Persea declinata (Bl.)
Kosterm bark methanolic crude extract (PDM). PDM exhibited a
potent antiproliferative effect in MCF-7 human breast cancer cells,
with an IC50 value of 16.68 .g/mL after 48h of treatment. We
observed that PDM caused cell cycle arrest and subsequent apoptosis
in MCF-7 cells, as exhibited by increased population at G0/G1 phase,
higher lactate dehydrogenase (LDH) release, and DNA
fragmentation. Mechanistic studies showed that PDM caused
significant elevation in ROS production, leading to perturbation of
mitochondrial membrane potential, cell permeability, and activation
of caspases-3/7. On the other hand, real-time PCR and Western blot
analysis showed that PDM treatment increased the expression of the
proapoptotic molecule, Bax, but decreased the expression of
prosurvival proteins, Bcl-2 and Bcl-xL, in a dose-dependent manner.
These findings imply that PDM could inhibit proliferation in MCF-7
cells via cell cycle arrest and apoptosis induction, indicating its
potential as a therapeutic agent worthy of further development.
Abstract: Nonalcoholic fatty liver disease (NAFLD) has
increased in conjunction with obesity. The accuracy of risk factors
for detecting NAFLD in obese adolescents has not undergone a
formal evaluation. The aim of this study was to evaluate predictors of
NAFLD among Egyptian female obese adolescents. The study
included 162 obese female adolescents. All were subjected to
anthropometry, biochemical analysis and abdominal ultrasongraphic
assessment. Metabolic syndrome (MS) was diagnosed according to
the IDF criteria. Significant association between presence of MS and
NAFLD was observed. Obese adolescents with NAFLD had
significantly higher levels of ALT, triglycerides, fasting glucose,
insulin, blood pressure and HOMA-IR, whereas decreased HDL-C
levels as compared with obese cases without NAFLD. Receiver–
operating characteristic (ROC) curve analysis shows that ALT is a
sensitive predictor for NAFLD, confirming that ALT can be used as a
marker of NAFLD.
Abstract: An anthropometric study applied to 1,115 students of
the Faculty of Chemical Sciences and Engineering of the
Autonomous University of California. Thirteen individual
measurements were taken in a sitting position. The results obtained
allow forming a reliable anthropometric database for statistical
studies and analysis and inferences of specific distributions, so the
opinion of experts in occupational medicine recommendations may
emit to reduce risks resulting in an alteration of the vital signs during
the execution of their school activities. Another use of these analyses
is to use them as a reliable reference for future deeper research, to the
design of spaces, tools, utensils, workstations, with anthropometric
dimensions and ergonomic characteristics suitable to use.
Abstract: This paper presents an anthropometric study
conducted to 300 employees in a maquiladora industry that belongs
to the cluster of medical products as part of a research project to
pretend simulate workplace conditions under which operators
conduct their activities. This project is relevant because traditionally
performed a study to design ergonomic workspaces according to
anthropometric profile of users, however, this paper demonstrates the
importance of making decisions when the infrastructure cannot be
adapted for economic whichever put emphasis on user activity.
Abstract: This study models the use of transcutaneous electrical
nerve stimulation on skin with a disk electrode in order to simulate
tissue damage. The current density distribution above a disk electrode
is known to be a dynamic and non-uniform quantity that is intensified
at the edges of the disk. The non-uniformity is subject to change
through using various electrode geometries or stimulation methods.
One of these methods known as edge-retarded stimulation has shown
to reduce this edge enhancement. Though progress has been made in
modeling the behavior of a disk electrode, little has been done to test
the validity of these models in simulating the actual heat transfer
from the electrode. This simulation uses finite element software to
couple the injection of current from a disk electrode to heat transfer
described by the Pennesbioheat transfer equation. An example
application of this model is studying an experimental form of
stimulation, known as edge-retarded stimulation. The edge-retarded
stimulation method will reduce the current density at the edges of the
electrode. It is hypothesized that reducing the current density edge
enhancement effect will, in turn, reduce temperature change and
tissue damage at the edges of these electrodes. This study tests this
hypothesis as a demonstration of the capabilities of this model. The
edge-retarded stimulation proved to be safer after this simulation. It is
shown that temperature change and the fraction of tissue necrosis is
much greater in the square wave stimulation. These results bring
implications for changes of procedures in transcutaneous electrical
nerve stimulation and transcutaneous spinal cord stimulation as well.
Abstract: Azadirachta excelsa or locally known as sentang are
frequently used as a traditional medicine by diabetes patients in
Malaysia. However, less attention has been given to their toxicity
effect. Thus, the study is an attempt to examine the protective effect
of A. excelsa on the pancreas and to determine possible toxicity
mediated by the extract. Diabetes was induced experimentally in rats
by high-fat-diet for 16 weeks followed by intraperitoneal injection of
streptozotocin at dosage of 35 mg/kg of body weight. Declination of
the fasting blood glucose level was observed after continuous
administration of A. excelsa for 14 days twice daily. This is due to the
refining structure of the pancreas. However, surprisingly, the plant
extract reduced the leukocytes, erythrocytes, hemoglobin, MCHC and
lymphocytes. In addition, the rat treated with the plant extract
exhibited increment in AST and eosinocytes level. Overall, the
finding shows that A. excelsa possesses antidiabetic activity by
improving the structure of pancreatic islet of Langerhans but
involved in ameliorating of hematology and biochemical parameters.
Abstract: Multipotent mesenchymal stromal cells (MSCs)
possess immunomodulatory properties. The effect of MSCs on the
crucial cellular immunity compartment – T-cells is of a special
interest. It is known that MSC tissue niche and expected milieu of
their interaction with T- cells are characterized by low oxygen
concentration, whereas the in vitro experiments usually are carried
out at a much higher ambient oxygen (20%). We firstly evaluated
immunomodulatory effects of MSCs on T-cells at tissue-related
oxygen (5%) after interaction implied cell-to-cell contacts and
paracrine factors only. It turned out that MSCs under reduced oxygen
can effectively suppress the activation and proliferation of PHAstimulated
T-cells and can provoke decrease in the production of
proinflammatory and increase in anti-inflammatory cytokines. In
hypoxia some effects were amplified (inhibition of proliferation, antiinflammatory
cytokine profile shift). This impact was more evident
after direct cell-to-cell interaction; lack of intercellular contacts could
revoke the potentiating effect of hypoxia.
Abstract: The following case study presents the management of
stage III Differentiated Thyroid Cancer (DTC) patient in an NHS
hospital in London, UK during period of 2004-2005.
Abstract: Osteoporosis is a common multifactorial disease with
a strong genetic component characterized by reduced bone mass and
increased risk of fractures. Genetic factors play an important role in
the pathogenesis of osteoporosis. The aim of our study was to
identify the genotype and allele distribution of T245G polymorphism
in OPG gene in Slovak postmenopausal women. A total of 200
unrelated Slovak postmenopausal women with diagnosed
osteoporosis and 200 normal controls were genotyped for T245G
(rs3134069) polymorphism of OPG gene. Genotyping was performed
using the Custom Taqman®SNP Genotyping assays. Genotypes and
alleles frequencies showed no significant differences (p=0.5551;
p=0.6022). The results of the present study confirm the importance of
T245G polymorphism in OPG gene in the pathogenesis of
osteoporosis.
Abstract: This work studied the ability of adipose tissue-derived
mesenchymal stromal cells (MSCs) to form stroma for expansion of
cord blood hematopoietic cells. We showed that 72-hour interaction
of MSCs with cord blood mononuclear cells (MNCs) in vitro at
atmospheric (20%) and low (5%) O2 conditions increased the
expression of ICAM-1, HCAM (at the beginning of interaction) on
MSCs. Viability of MSCs and MNCs were maintained at high level.
Adhesion of MNCs to MSCs was faster at 20% O2. MSCs promoted
the proliferation of adhered MNCs to form the suspension containing
great number of hematopoietic colony-forming units, and this effect
was more pronounced at 5% O2. Thus, adipose-derived MSCs
supplied sufficient stromal support to cord blood MNCs both at 20%
and 5% О2, providing their adhesion with further expansion of new
generation of different hematopoietic lineages.
Abstract: The article is proposing a base plan for the future Patient Care Information Systems in a changing health care environment where it is necessary to assure quality patient care services and reducing cost and where new technology trends give the opportunities to develop clinical applications and services patient focused according to new business objectives.
Abstract: Chitosan is a derivative of chitin, a compound usually
isolated from the shells of some crustaceans such as crab, lobster and
shrimp. It has biocompatible, biodegradable, and antimicrobial
properties. To use these properties of chitosan in biomedical fields,
chitosan films (1%, 2%, 3% and 4%) were prepared by using l%
lactic acid as solvent. The effects of chitosan films on tensile
strength, elongation at break, degree of swelling, thickness,
morphology, allergic and irritation reactions and antibacterial
property were evaluated. Staphylococcus aureus and Escherichia coli
were used as tested microorganisms. In vivo wound healing activities
of chitosan films were investigated using mice model. As results,
Chitosan films have similar appearance and good swelling properties
and 4% chitosan film showed the better swelling activity and the
greatest elongation ratio than the other chitosan films. They also
showed their good activity of wound healing in mice model.
Moreover, the results showed that the films did not produce any
unwilling symptoms (allergy or irritation). In conclusion, it is evident
that the chitosan film has the potentiality to use as wound healing
biofilms in the biomedical fields.
Abstract: Estimation of the magnitude and causes of poisoning
was the objective of the current study. A retrospective study of
medical records of all poisoning children admitted to Benghazi
Children Hospital in Libya from January 2008 up to December 2010.
Number of children admitted was 244; the age ranged from less than
one to 13 years old. Most of cases were admitted with mild symptom
and the majority of them were boys. Only few cases admitted to
intensive care unit and there was no mortality recorded through the
period of study. Age group 1 to 3 years (50.8%) had the highest
frequency of admission and the peak of admission was during
summer. The most common cause of admission was due to ingestion
of medication (53.69%), House hold product exposure (26.64%) was
the second causes of admission while, 19.67% of admissions were
due to Food poisoning. Almost all admitted cases were accidental and
medicines were the most consumed substances in addition, improper
storage of toxic agents were the first risk factor of poisoning. Present
results indicated that, children poisoning seems to be a common
pediatric care problem which need to control and prevent.
Abstract: Retinal prostheses have been successful in eliciting
visual responses in implanted subjects. As these prostheses progress,
one of their major limitations is the need for increased resolution. As
an alternative to increasing the number of electrodes, virtual
electrodes may be used to increase the effective resolution of current
electrode arrays. This paper presents a virtual electrode technique
based upon time-offsets between stimuli. Two adjacent electrodes are
stimulated with identical pulses with too short of pulse widths to
activate a neuron, but one has a time offset of one pulse width. A
virtual electrode of twice the pulse width was then shown to appear in
the center, with a total width capable of activating a neuron. This can
be used in retinal implants by stimulating electrodes with pulse
widths short enough to not elicit responses in neurons, but with their
combined pulse width adequate to activate a neuron in between them.
Abstract: Most of the drugs used for pharmaceutical purposes
are poorly water-soluble drugs. About 40% of all newly discovered
drugs are lipophilic and the numbers of lipophilic drugs seem to
increase more and more. Drug delivery systems such as
nanoparticles, micelles or liposomes are applied to improve their
solubility and thus their bioavailability. Besides various techniques of
solubilization, oil-in-water emulsions are often used to incorporate
lipophilic drugs into the oil phase. To stabilize emulsions surface
active substances (surfactants) are generally used. An alternative
method to avoid the application of surfactants was of great interest.
One possibility is to develop O/W-emulsion without any addition of
surface active agents or the so called “surfactant-free emulsion or
SFE”. The aim of this study was to develop and characterize SFE as a
drug carrier by varying the production conditions. Lidocaine base
was used as a model drug. The injection method was developed.
Effects of ultrasound as well as of temperature on the properties of
the emulsion were studied. Particle sizes and release were
determined. The long-term stability up to 30 days was performed.
The results showed that the surfactant-free O/W emulsions with
pharmaceutical oil as drug carrier can be produced.
Abstract: The adverse effects of Clindamycin (Clind.) /
Ibuprofen (Ibu.) combination on liver, kidney, blood elements and the
significances of antioxidants (N-acetylcysteine and Zinc) against
these effects were evaluated. The study includes: Group I; control
n=30, Group II; patients on Clind.300mg/Ibu.400mg twice daily for a
week n=30, Group III; patients on Clind.300mg/Ibu.400mg+Nacetylcysteine
200mg twice daily for a week n=15 and Group IV;
patients on Clind.300mg/Ibu.400mg+Zinc50mg twice daily for a
week n=15. Serum malondialdehyde (MDA), alanine transferase
(ALT), aspartate transferase (AST), γ glutamyl transferase (GGT),
creatinine, blood urea nitrogen (BUN) were measured. Applying one
way ANOVA followed by Tuckey Kramer post test, Group II showed
significant increase in ALT, AST, GGT, BUN and decrease in Hb,
RBCs, platelets than Group I. Group III showed significant decrease
in ALT, AST, GGT, BUN than Group II. Moreover, Group IV
showed significant decrease in ALT, AST, GGT and increase in Hb,
RBCs, and platelets than Group II. Conclusively, Adding Zinc or Nacetylcysteine
buffer the oxidative stress and improve the therapeutic
outcome of Clindamycin/Ibuprofen combination.